ASHLEY BRANDON DELACERDA (NPI# 1457644551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457644551 |
| Entity Type | Individual |
| Full Name | ASHLEY BRANDON DELACERDA |
| Credential | M.D. |
| Practice Address |
220 E. Harris San Angelo TX 76903 |
| Mailing Address |
Po Box 22000 San Angelo TX 76902-7200 |
| Practice Telephone | 3254812215 |
| Practice Fax Number | 3254812180 |
| Mailing Telephone | 3256581511 |
| Mailing Fax Number | 3254812166 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2017-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Q2892 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8FB936 | 01 |
| TX | 346821701 | 05 | |
| TX | MEDICARE PTAN | 418771YKRY | 01 |
| Street Address |
220 E. HARRIS |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971603 | Cornelius W. Chinn | Family Medicine | 220 E. Harris, San Angelo, TX 76903 | 2005-06-08 |
| 1447627807 | Christina Arp | Advanced Practice Midwife | 220 E. Harris, San Angelo, TX 76903 | 2015-09-01 |
| 1760813547 | Chris-gerald Ferguson | Family Medicine | 220 E. Harris, San Angelo, TX 76903 | 2013-12-04 |
| 1831523448 | Anna M Augustin | Nurse Practitioner | 220 E. Harris, San Angelo, TX 76903 | 2013-08-30 |
| 1255696522 | Melissa Aleta | Internal Medicine | 220 E. Harris, San Angelo, TX 76903 | 2012-07-11 |
| 1225397250 | Kaushal Sondarwa | Internal Medicine | 220 E. Harris, San Angelo, TX 76903 | 2012-05-11 |
| 1326315128 | Steven Alred | Family Medicine | 220 E. Harris, San Angelo, TX 76903 | 2011-11-22 |
| 1972766715 | Jacob David Ornelas | Obstetrics & Gynecology | 220 E. Harris, San Angelo, TX 76903 | 2008-07-02 |
| 1891956371 | Steven E Burgess | Family Medicine | 220 E. Harris, San Angelo, TX 76903 | 2008-06-18 |
| 1336307644 | Norma Carolina Cerna | Family Medicine | 220 E. Harris, San Angelo, TX 76903 | 2008-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039494 | Ross A Alexander | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2005-11-08 |
| 1114921459 | Ernest Charlesworth | Dermatology | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2005-06-01 |
| 1639373210 | Mark Adam Ramirez | Dermatology | 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | 2007-06-14 |
| 1003919994 | Charles E. Greeson | Dermatology | 120 E Beauregard Ave, San Angelo, TX 76903-5919 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030456 | Andrew M. Quinn IIi, Md Pllc | Dermatology | 4110 Bellaire Blvd Ste 202, Houston, TX 77025-1057 | 2020-10-11 |
| 1639786999 | Carolyn Huyen Trieu | Dermatology | 7700 San Felipe St Ste 492, Houston, TX 77063-1630 | 2020-09-29 |
| 1366057861 | Young E Martin | Dermatology | 910 W Parker Rd Ste 210, Plano, TX 75075-2361 | 2020-09-11 |
| 1700498136 | Optimal Health and Skin LLC | Dermatology | 4701 Old Shepard Pl Ste 260, Plano, TX 75093-5250 | 2020-08-18 |
| 1962023077 | Bluebonnet Dermatology, Pllc | Dermatology | 935 W Exchange Parkway, Building B, Suite 130, Allen, TX 75013-7075 | 2020-04-29 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1518506054 | Duong Thuy Nguyen | Dermatology | 1134 Globe St, Houston, TX 77034-1109 | 2020-01-01 |
| 1558904953 | Lorin Brittney Anderson | Dermatology | 5928 Chisholm Trl, Mckinney, TX 75070-6464 | 2019-10-18 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1891346359 | Westlake Dermatology of San Antonio Pllc | Dermatology | 5500 Broadway Ave Ste R100, Alamo Heights, TX 78209 | 2019-09-26 |
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| City | SAN ANGELO |
| Zip Code | 76903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.